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Acute effects of inspiratory muscle training at different intensities in healthy young people

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A Correction to this article was published on 09 September 2020

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Abstract

Background

Understanding the acute effects of inspiratory muscle training (IMT) at different intensities on the autonomic nervous system, arterial stiffness, and blood pressure in healthy young people will be important in the constitution of appropriate IMT prescriptions.

Aims

To investigate the acute effects of IMT at different intensities on autonomic function, arterial stiffness, and blood pressure in healthy young people

Methods

Thirty-six healthy participants were enrolled in this crossover study. All participants randomly performed IMT sessions, which consisted of diaphragmatic breathing exercise (DBE), 10%, 30%, and 60% of maximal inspiratory pressure (MIP) on consecutive days. Autonomic function and arterial stiffness were assessed by measuring heart rate variability (HRV) and aortic pulse wave velocity (AoPWV), respectively. HRV, AoPWV, and blood pressure were recorded before and immediately after each IMT session.

Results

There was no significant difference in the baseline measurements between IMT sessions (p > 0.05). Heart rate (HR) significantly decreased after DBE and IMT at 10% of MIP (p < 0.05). All time domain parameters of HRV significantly improved after DBE compared with the baseline (p < 0.05). There was no difference in the frequency domain of HRV after the IMT sessions (p > 0.05). AoPWV significantly increased after IMT at 60% of MIP (p < 0.05). Mean arterial pressure significantly changed after DBE and IMT at 60% of MIP (p < 0.05).

Conclusions

A single session of DBE positively affects autonomic function and blood pressure, while IMT at 60% of MIP increases arterial stiffness. The different intensities of IMT have various impacts on autonomic function, arterial stiffness, and blood pressure.

Trial registration

NCT03788356

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References

  1. Mendis S, Lindholm LH, Mancia G et al (2007) World Health Organization (WHO) and International Society of Hypertension (ISH) risk prediction charts: assessment of cardiovascular risk for prevention and control of cardiovascular disease in low and middle-income countries. J Hypertens 25:1578–1582. https://doi.org/10.1097/HJH.0b013e3282861fd3

    Article  CAS  PubMed  Google Scholar 

  2. Thayer JF, Yamamoto SS, Brosschot JF (2010) The relationship of autonomic imbalance, heart rate variability and cardiovascular disease risk factors. Int J Cardiol 141:122–131. https://doi.org/10.1016/j.ijcard.2009.09.543

    Article  PubMed  Google Scholar 

  3. Vlachopoulos C, Aznaouridis K, Stefanadis C (2010) Prediction of cardiovascular events and all-cause mortality with arterial stiffness: a systematic review and meta-analysis. J Am Coll Cardiol 55:1318–1327. https://doi.org/10.1016/j.jacc.2009.10.061

    Article  PubMed  Google Scholar 

  4. Eriksson JG, Forsen T, Tuomilehto J et al (2001) Early growth and coronary heart disease in later life: longitudinal study. Bmj 322:949–953. https://doi.org/10.1136/bmj.322.7292.949

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  5. Guo S, Huang C, Maynard L et al (2000) Body mass index during childhood, adolescence and young adulthood in relation to adult overweight and adiposity: the Fels Longitudinal Study. Int J Obes 24:1628. https://doi.org/10.1038/sj.ijo.0801461

    Article  CAS  Google Scholar 

  6. Gkaliagkousi E, Gavriilaki E, Douma S (2014) Effects of acute and chronic exercise in patients with essential hypertension: benefits and risks. Am J Hypertens 28:429–439. https://doi.org/10.1093/ajh/hpu203

    Article  CAS  PubMed  Google Scholar 

  7. Sardeli AV, Gaspari AF, Chacon-Mikahil MP (2018) Acute, short-, and long-term effects of different types of exercise in central arterial stiffness: a systematic review and meta-analysis. J Sports Med Phys Fitness 58:923–932. https://doi.org/10.23736/S0022-4707.17.07486-2

    Article  CAS  PubMed  Google Scholar 

  8. Caruso F, Arena R, Phillips S et al. (2015) Resistance exercise training improves heart rate variability and muscle performance: a randomized controlled trial in coronary artery disease patients. Eur J Phys Rehabil Med 51:281–289

  9. Killingback C, Tsofliou F, Clark C (2017) Older people’s adherence to community-based group exercise programmes: a multiple-case study. BMC Public Health 17:115. https://doi.org/10.1186/s12889-017-4049-6

    Article  PubMed  PubMed Central  Google Scholar 

  10. McConnell A (2013) Respiratory muscle training e-book: theory and practice: Elsevier Health Sciences

  11. Enright SJ, Unnithan VB, Heward C et al (2006) Effect of high-intensity inspiratory muscle training on lung volumes, diaphragm thickness, and exercise capacity in subjects who are healthy. Phys Ther 86:345–354

    Article  PubMed  Google Scholar 

  12. DeLucia CM, De Asis RM, Bailey EF (2018) Daily inspiratory muscle training lowers blood pressure and vascular resistance in healthy men and women. Exp Physiol 103:201–211. https://doi.org/10.1113/EP086641

    Article  PubMed  Google Scholar 

  13. de Abreu RM, Rehder-Santos P, Minatel V et al (2017) Effects of inspiratory muscle training on cardiovascular autonomic control: a systematic review. Auton Neurosci 208:29–35. https://doi.org/10.1016/j.autneu.2017.09.002

    Article  PubMed  Google Scholar 

  14. Archiza B, Simões RP, Mendes RG et al (2013) Acute effects of different inspiratory resistive loading on heart rate variability in healthy elderly patients. Braz J Phys Ther 17:401–408. https://doi.org/10.1590/S1413-35552013005000100

    Article  PubMed  Google Scholar 

  15. Janić M, Lunder M, Šabovič M (2014) Arterial stiffness and cardiovascular therapy. Biomed Res Int 2014:621437. https://doi.org/10.1155/2014/621437

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  16. Bisconti AV, Devoto M, Venturelli M et al (2018) Respiratory muscle training positively affects vasomotor response in young healthy women. PLoS One 13(9):e0203347. https://doi.org/10.1371/journal.pone.0203347

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  17. Geddes EL, O’Brien K, Reis WD et al (2008) Inspiratory muscle training in adults with chronic obstructive pulmonary disease: an update of a systematic review. Respir Med 102:1715–1729. https://doi.org/10.1016/j.rmed.2008.07.005

    Article  PubMed  Google Scholar 

  18. Cahalin LP, Braga M, Matsuo Y et al (2002) Efficacy of diaphragmatic breathing in persons with chronic obstructive pulmonary disease: a review of the literature. J Cardpulm Rehabil 22:7–21. https://doi.org/10.1097/00008483-200201000-00002

    Article  Google Scholar 

  19. Vitacca M, Clini E, Bianchi L et al (1998) Acute effects of deep diaphragmatic breathing in COPD patients with chronic respiratory insufficiency. Eur Respir J 11:408–415. https://doi.org/10.1183/09031936.98.11020408

    Article  CAS  PubMed  Google Scholar 

  20. Miller MR, Hankinson J, Brusasco V et al (2005) Standardisation of spirometry. Eur Respir J 26:319–338. https://doi.org/10.1183/09031936.05.00034805

    Article  CAS  PubMed  Google Scholar 

  21. European RS, Society AT (2002) ATS/ERS statement on respiratory muscle testing. Am J Respir Crit Care Med 166:518. https://doi.org/10.1164/rccm.166.4.518

    Article  Google Scholar 

  22. Wilson S, Cooke N, Edwards R et al (1984) Predicted normal values for maximal respiratory pressures in Caucasian adults and children. Thorax 39:535–538. https://doi.org/10.1136/thx.39.7.535

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  23. Saglam M, Arikan H, Savci S et al (2010) International physical activity questionnaire: reliability and validity of the Turkish version. Percept Mot Skills 111:278–284. https://doi.org/10.2466/06.08.PMS.111.4.278-284

    Article  PubMed  Google Scholar 

  24. Lee PH, Macfarlane DJ, Lam T et al (2011) Validity of the International Physical Activity Questionnaire Short Form (IPAQ-SF): a systematic review. Int J Behav Nutr Phys Act 8:115. https://doi.org/10.1186/1479-5868-8-115

    Article  PubMed  PubMed Central  Google Scholar 

  25. Ferreira M Jr, Zanesco A (2016) Heart rate variability as important approach for assessment autonomic modulation. Motriz: Motriz: rev educ fis 22:3–8. https://doi.org/10.1590/S1980-65742016000200001

    Article  Google Scholar 

  26. Hwang M, Yoo J, Kim H et al Validity and reliability of aortic pulse wave velocity and augmentation index determined by the new cuff-based SphygmoCor Xcel. J Hum Hypertens 28:475. https://doi.org/10.1038/jhh.2013.144

  27. Nakagomi A, Shoji T, Okada S et al (2018) Validity of the augmentation index and pulse pressure amplification as determined by the SphygmoCor XCEL device: a comparison with invasive measurements. Hypertens Res 41:27. https://doi.org/10.1038/hr.2017.81

    Article  PubMed  Google Scholar 

  28. Wilson RC, Jones P (1991) Long-term reproducibility of Borg scale estimates of breathlessness during exercise. Clin Sci 80:309–312. https://doi.org/10.1042/cs0800309

    Article  CAS  Google Scholar 

  29. Gift AG. (1989) Visual analogue scales: measurement of subjective phenomena. Nurs res, Visual Analogue Scales

  30. Tornberg J, Ikäheimo TM, Kiviniemi A et al (2019) Physical activity is associated with cardiac autonomic function in adolescent men. PLoS One 14:e0222121. https://doi.org/10.1371/journal.pone.0222121

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  31. Germano-Soares AH, Andrade-Lima A, Menêses AL et al (2018) Association of time spent in physical activities and sedentary behaviors with carotid-femoral pulse wave velocity: a systematic review and meta-analysis. Atherosclerosis 269:211–218. https://doi.org/10.1016/j.atherosclerosis.2018.01.009

    Article  CAS  PubMed  Google Scholar 

  32. Hirsch JA, Bishop B (1981) Respiratory sinus arrhythmia in humans: how breathing pattern modulates heart rate. Am J Physiol Heart Circ Physiol 241:H620–H6H9. https://doi.org/10.1152/ajpheart.1981.241.4.H620

    Article  CAS  Google Scholar 

  33. Calabrese P, Perrault H, Dinh TP et al (2000) Cardiorespiratory interactions during resistive load breathing. Am J Phys Regul Integr Comp Phys 279:R2208–R2R13. https://doi.org/10.1152/ajpregu.2000.279.6.R2208

    Article  CAS  Google Scholar 

  34. McConnell AK, Griffiths LA (2010) Acute cardiorespiratory responses to inspiratory pressure threshold loading. Med Sci Sports Exerc 42:1696–1703. https://doi.org/10.1249/MSS.0b013e3181d435cf

    Article  PubMed  Google Scholar 

  35. Routledge FS, Campbell TS, McFetridge-Durdle JA et al (2010) Improvements in heart rate variability with exercise therapy. Can J Cardiol 26:303–312. https://doi.org/10.1016/s0828-282X(10)70395-0

    Article  PubMed  PubMed Central  Google Scholar 

  36. Pal G, Velkumary S (2004) Effect of short-term practice of breathing exercises on autonomic functions in normal human volunteers. Indian J Med Res 120:115

    CAS  PubMed  Google Scholar 

  37. Damon DH (2005) Sympathetic innervation promotes vascular smooth muscle differentiation. Am J Physiol Heart Circ Physiol. https://doi.org/10.1152/ajpheart.00354.2004

  38. Nakao M, Nomura K, Karita K et al (2004) Relationship between brachial-ankle pulse wave velocity and heart rate variability in young Japanese men. Hypertens Res 27:925–931. https://doi.org/10.1291/hypres.27.925

    Article  PubMed  Google Scholar 

  39. Siasos G, Athanasiou D, Terzis G et al (2016) Acute effects of different types of aerobic exercise on endothelial function and arterial stiffness. Eur J Prev Cardiol 23:1565–1572. https://doi.org/10.1177/2047487316647185

    Article  PubMed  Google Scholar 

  40. Lanfranchi PA, Somers VK (2002) Arterial baroreflex function and cardiovascular variability: interactions and implications. Am J Phys Regul Integr Comp Phys 283:R815–RR26. https://doi.org/10.1152/ajpregu.00051.2002

    Article  Google Scholar 

  41. Bernardi L, Porta C, Spicuzza L et al (2002) Slow breathing increases arterial baroreflex sensitivity in patients with chronic heart failure. Circulation 105:143–145. https://doi.org/10.1161/hc0202.103311

    Article  PubMed  Google Scholar 

  42. Joseph CN, Porta C, Casucci G et al (2005) Slow breathing improves arterial baroreflex sensitivity and decreases blood pressure in essential hypertension. Hypertension 46:714–718. https://doi.org/10.1161/01.HYP.0000179581.68566.7d

    Article  CAS  PubMed  Google Scholar 

  43. Callegaro CC, Ribeiro JP, Tan CO et al (2011) Attenuated inspiratory muscle metaboreflex in endurance-trained individuals. Respir Physiol Neurobiol 177:24–29. https://doi.org/10.1016/j.resp.2011.03.001

    Article  PubMed  Google Scholar 

  44. Monahan KD, Tanaka H, Dinenno FA et al (2001) Central arterial compliance is associated with age-and habitual exercise–related differences in cardiovagal baroreflex sensitivity. Circulation 104:1627–1632. https://doi.org/10.1161/hc3901.096670

    Article  CAS  PubMed  Google Scholar 

  45. Sheel AW, Derchak PA, Morgan BJ et al (2001) Fatiguing inspiratory muscle work causes reflex reduction in resting leg blood flow in humans. J Physiol 537:277–289. https://doi.org/10.1111/j.1469-7793.2001.0277k.x

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  46. Gosselink R, Wagenaar RC, Rijswijk H et al (1995) Diaphragmatic breathing reduces efficiency of breathing in patients with chronic obstructive pulmonary disease. Am J Respir Crit Care Med 151:1136–1142. https://doi.org/10.1164/ajrccm.151.4.7697243

    Article  CAS  PubMed  Google Scholar 

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Acknowledgments

The authors thank Turhan Kahraman for statistical analysis support.

Author information

Authors and Affiliations

  1. Graduate School of Health Sciences, Dokuz Eylül University, Izmir, Turkey

    Aylin Tanriverdi

  2. School of Physical Therapy and Rehabilitation, Dokuz Eylül University, Izmir, Turkey

    Aylin Tanriverdi, Buse Ozcan Kahraman & Sema Savci

  3. School of Physical Therapy and Rehabilitation, Selcuk University, Konya, Turkey

    Ismail Ozsoy

  4. Department of Cardiology, Faculty of Medicine, Dokuz Eylül University, Izmir, Turkey

    Ebru Ozpelit

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  1. Aylin Tanriverdi
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  2. Buse Ozcan Kahraman
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  4. Ebru Ozpelit
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  5. Sema Savci
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Contributions

Conception and design: Aylin Tanriverdi, Buse Ozcan Kahraman, Ismail Ozsoy, Ebru Ozpelit, Sema Savci; data collection: Aylin Tanriverdi, Buse Ozcan Kahraman, Ebru Ozpelit; statistical analyses: Aylin Tanriverdi, Buse Ozcan Kahraman, Ismail Ozsoy; writing of the manuscript: Aylin Tanriverdi, Sema Savci; revising the article for important intellectual content and final approval: all authors

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Correspondence to Aylin Tanriverdi.

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The authors declare that they have no conflict of interest.

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This study conformed in accordance with the 2013 Declaration of Helsinki (study was not registered in a database). The study protocol was approved by the Ethics Committee of Dokuz Eylül University (reference number 2018/14-16).

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Written informed consent was obtained from all individual participants included in the study.

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Additional informed consent was obtained from all individual participants for whom identifying information is included in this article.

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The original version of this article was revised: This article was published online with an error. In Table 3, the name of the variable in the last row is missing. It just says 'mmHg'. The name to be written is ‘MAP (mmHg)’.

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Tanriverdi, A., Kahraman, B.O., Ozsoy, I. et al. Acute effects of inspiratory muscle training at different intensities in healthy young people. Ir J Med Sci 190, 577–585 (2021). https://doi.org/10.1007/s11845-020-02353-w

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  • DOI: https://doi.org/10.1007/s11845-020-02353-w

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